Individual
JESSICA S JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCT
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 829-8885
Mailing address
PO BOX 15394, AUGUSTA, GA 30919-1394
(706) 829-8885
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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